Request edit access
SANDLOT CAMP REGISTRATION 2020
PLEASE COMPLETE THIS FORM FOR EACH CAMPER.
Camper's Name (Last, First)
Which week(s) will your child be attending camp?
June 1-5, 2020
June 8-12, 2020
June 22-26, 2020
June 29-July 3, 2020
What grade is the camper entering in the 2020-2021 school year?
1st Grade (NOTE: Child should have completed full-day Kindergarten)
Which school did the camper attend in 2019-20?
Colonial Hills ES
Evening Street ES
Slate Hill ES
Wilson Hill ES
Worthington Estates ES
Worthington Hills ES
Worthington Park ES
Dublin City Schools
Olentangy City Schools
Westerville City Schools
Columbus City Schools
List the names/grades of any friends or siblings with whom the camper would like to be placed on a team.
Parent / Guardian's Name:
Parent/Guardian's phone number:
Please indicate your payment method:
I'll be paying via PayPal (see link on "Registration" page of website)
I'll be mailing a check (within one week of registration).
If paying via PayPal, please list the email and name associated with your PayPal account.
Do you give your child permission to swim (kids will be supervised by both camp AND pool staff)?
Only the following individuals are permitted to pick my child up from camp:
I understand that Sandlot is a sports/activities camp, which means that there is a small potential for injury. I hereby waive any right to sue Sandlot Worthington or any of its employees in the event of a personal injury to my child.
CONSENT TO TREATMENT: In the event that reasonable attempts to contact the above-mentioned have been unsuccessful, I hereby give my consent for the administration of any treatment deemed necessary for the well-being of my child.
If you have a preferred physician or dentist, please list names and phone numbers.
Please describe any allergies or special health concerns:
Will you be leaving any medications or equipment with the camp staff (EpiPens, inhalers, medications, etc.)? If so, please list and provide dosage information.
My camper is currently insured under a health/medical insurance plan offered by the following insurance provider:
Do you give permission for your child to be photographed / images of your child to be posted on our website/Facebook page?
How did you hear about Sandlot Camp?
Attended camp last year
Flyer in mailbox or on car
Advertisement @ local business
Sponsor of local events (Color Run, Warrior Run, Pancake Day, etc.)
Booth @ activity fair (Worthington Recreational Center OR Worthington Mall)
Flyer sent home from P.E. teacher @ school
A copy of your responses will be emailed to the address you provided.
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service